Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report)

The World Obesity Federation predicts that by 2030, one billion people worldwide will be living with obesity. Therefore, it is worth highlighting morbid obesity, defined by the WHO as a BMI of 40 kg/m2 or more, in which women have significantly more prenatal, perinatal, and postpartum complications. In particular, obesity is known to have a significant association with cardiometabolic disorders. Іt has been established that the rate of cesarean section (CS) in pregnant women with a BMI ≥ 50 kg/m2 approaches 50%. The purpose of the publication is to familiarize with a clinical case of cardiometabolic disorders and the optimal method of delivery of a pregnant woman with morbid obesity and severe preeclampsia using supraumbilical laparotomy and fundal CS, medical and technical support with modern energies (radio-wave scalpel, argon-plasma tissue coagulation) for the prevention of peripartum complications, and which was carried out at the main clinical base of the department - the Kyiv Regional Perinatal Center (KRPC). Having analyzed the clinical case we successfully conducted, it is worth highlighting the timely diagnosis of cardiometabolic disorders in a pregnant woman against the background of morbid obesity and severe preeclampsia with all the obvious advantages of supraumbilical/supraumbilical laparotomy and fundal CS, which is most effectiveness for this contingent of women.